| NPI | 1770699241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX S13512) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX S13512) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |